Below, you will find the Registration form to attend a FaithWalk South Louisiana weekend as a first time FaithWalk Believer.If you have attended a previous 4th day weekend such as ACTS Retreat, Discipleship Walk, Tres Dias, Great Banquet, Walk to Emmaus, Chrysalis, Cursillo, etc., you are not allowed to attend FaithWalk as a first time believer, but may instead serve as a member of our FaithWalk team. If you have questions, please contact us.

By submitting this application and paying the fee of $180.00, you are committing to attend a FaithWalk weekend, as designated by the registrar. Please know your spot is only reserved if fee is paid. If you are not certain that this is what you wish to do, please refrain from filling out this form. For more information, please see About FaithWalk.

Current Rate: $180.00 ($50 cancellation fee if cancelled less than 30 days prior to confirmed weekend dates)

Step 1 of 4

NOTE: If you have ever attended a 4th day weekend you are not eligible to attend a FaithWalk Weekend, but may submit this form to register as a user on this site.

Gender*

Believer Walk

Walk #

STOP! If you attended a FaithWalk South Louisiana or if you have ever served on a FaithWalk South Louisiana weekend you should already have a profile in the system. You simply need to reset your password to gain access to the site. If your email address has changed and you need to update it, please send a message to Website Help using the Contact Us page.

Name*

FirstMiddle InitialLastSuffix (Jr, Sr, etc)

Date of Birth*

MM

DD

YYYY

Address*

Street AddressCityStateZIP Code

Phone-Cell*

Phone-Home

Phone-Work

Email*

Create your Password*

Enter PasswordConfirm Password

Smoker*

Shirt Size*

Marital Status*

Has your spouse attended FaithWalk or another 4th Day weekend?

Spouse's Name

FirstLast

Emergency Contact

FirstLast

Emergency Contact Phone

Church Name

Who encouraged you to attend FaithWalk?*

FirstLastSuffix (Jr, Sr, etc)

Encourager's Phone*

Dietary Needs

Medical Needs

Special Skills: medical training, musical abilities, etc.

Home Community

Cross Carried By

Table

Deposit Receipt Date

Manual Payment 1 Amount

Manual Payment 1 Date

Manual Payment 1 Payer

Manual Payment 1 Method

Manual Payment 1 Check Number/Note

Manual Payment 2 Amount

Manual Payment 2 Date

Manual Payment 2 Payer

Manual Payment 2 Method

Manual Payment 2 Check Number/Note

Form of Payment*

Please choose how you would like to pay for your weekend.

Payment Amount

Convenience Fee

Price:$0.00

A convenience fee will be added to cover the credit card processing fees.

Credit Card*

Discover

MasterCard

Visa

Card NumberExpiration DateSecurity CodeCardholder Name

Total Payment Amount

$0.00

Registrations are on a first come, first served basis and this registration does not guarantee you a place on the upcoming Walk.
You will receive a confirmation notice from the FaithWalk South Louisiana Registrar approximately eight weeks prior to the Walk date.

Registrations are on a first come, first served basis and this registration does not guarantee you a place on the upcoming Walk. If you choose not to pay online, your deposit must be mailed in after completion of this online registration form. We cannot reserve your space until your deposit is paid.

Please make your check payable to: FaithWalk South Louisiana
(Be sure to reference the name of the person attending the weekend on your check.)